Search Results for: fraud

Virginia Nursing Home Operator Found Guilty of Health Care Fraud In Norfolk, Virginia, the operator of Turning Points Residential Care has been sentenced to two years in prison for defrauding Medicaid. According to July 2, 2021 court documents, 47-year-old Lopez Scott submitted more than $188,000 in false claims for a residential nursing facility his business […]

Former Chicago Nursing Home Executive Has Sentence Commuted After Found Guilty of Largest U.S. Medicare Fraud Scheme Philip Esformes, who used to be a well-known Chicago-area nursing home mogul, also known as the King of Medicaid Fraud, was released from prison after President Donald Trump commuted his sentence on December 22, 2020. The Presidential commutation […]

Miami-Dade Nursing Home Owner Convicted in Largest U.S. Healthcare Fraud Scheme Just last week, a 12-person jury deliberated for four days before finding Philip Esformes, a 50-year-old entrepreneur and owner of a network of 16 nursing homes and assisted living facilities in Florida, guilty on 20 out of 26 charges related to healthcare fraud. This […]

James Burkhart, the former CEO of American Senior Communities (ASC), Indiana’s largest nursing home chain, has just been sentenced to nearly 10 years in federal prison. “Obsessed with Money” From 2009 – 2015, Burkhart and several other high-ranking ASC executives engaged in a moneymaking scheme that included kickbacks and overcharging vendors, charges to which Burkhart […]

Reducing Medicaid fraud and waste has been a talking point among many administrations, but with recent reports that 10% of Medicaid payments last year contained an error, several government offices are ready to take action. A meeting between the House Oversight Committee’s Subcommittee on Government Operations and the Subcommittee on Intergovernmental Affairs was planned for […]

Home health agencies have become a valuable resource in helping care for aging spouses, parents, and loved ones. With a surging number of elderly Americans, many of whom choose to live in their own homes as long as possible, the demand for in-home healthcare is booming. The Chicago Tribune reports that Cook County, which includes […]

Genesis Healthcare, one of the largest nursing home groups in the country, is having a bad year.  This summer, the chain was ordered to pay $54 million to 5 whistleblowers who exposed fraudulent billing for keeping and treating patients who did not require hospice care. Adding to the nursing home chain’s problems are criminal charges […]

A major nursing home chain with locations in Aurora, Rockford, and Dixon, Illinois is in the middle of a $60 million lawsuit brought by the U.S. government. The lawsuit alleges that Meridian Senior Living Group (some former Meridian facilities are now owned by Affinity Living Group) submitted at least that amount in false billings to […]

Per a settlement agreement, 5 employees of Genesis Healthcare subsidiaries are owed $10 million for exposing an ongoing scheme of deceitful billing for unnecessary hospice services. The total settlement agreed to by Genesis is $54 million. Despite their exposure for hospice fraud, the chain took over Skilled Healthcare Group and Sun Healthcare Group, two of the subsidiaries named in […]

Often people think of drug abuse as a young person’s problem. While young people do make up more than their fair share of the drug addiction and abuse community, they are far from having exclusive ownership of the problem. Older Americans, particularly those who suffer from chronic pain, can easily become addicted to prescription drugs. […]

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